BRIAN BURNS: TRAUMA BEFORE + BEYOND THE HOSPITAL

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Trauma Before and Trauma Before and Beyond the Hospital Beyond the Hospital Brian Burns Brian Burns

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Brian Burns on managing trauma patients in extremis and extreme conditions. This talk was given at SMACC 2013. Go to http://intensivecarenetwork.com/index.php/icn-activities/smacc-2013/podcasts/643 for the audio.

Transcript of BRIAN BURNS: TRAUMA BEFORE + BEYOND THE HOSPITAL

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Trauma Before and Trauma Before and Beyond the HospitalBeyond the HospitalBrian BurnsBrian Burns

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Role of a hospital?Role of a hospital?

InvestigateInvestigate

Diagnose Diagnose

TreatTreat

CureCure

Save Life & LimbSave Life & Limb

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JimmyJimmy

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Time ZeroTime Zero

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VitalsVitals

RR RR 3535, SpO2 , SpO2 8888%%

SBPSBP 80 80, PR , PR 134134

GCS GCS 77

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Meaningful Meaningful InterventionsInterventions

ClinicalClinical

LogisticLogistic

CognitiveCognitive

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inin

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GCS 7GCS 7

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LogisticsLogistics

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LogisticalLogistical

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Time to Meaningful Interventions

? OT

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Time to Meaningful Interventions

? OT

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CognitiveCognitive

attentionattention

memorymemory

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Cognitive Resilience Cognitive Resilience

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Task PrioritisationTask Prioritisation

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Task PerformanceTask Performance

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Critical Decision MakingCritical Decision Making

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Future?Future?

Advanced blood products Advanced blood products

REBOAREBOA

ECMOECMO

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Thank youThank you

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Proc (Bayl Univ Med Cent). 2010 October; 23(4): 349–354.

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Advanced Decision Advanced Decision MakingMaking

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FutureFuture

Intra-aortic occlusion devices?Intra-aortic occlusion devices?

ECMO?ECMO?

Tricorders?Tricorders?

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ACS Committee on Trauma Presents Injuries Due to Burns and Cold Injuries Due to Burns and Cold.

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